Dexmedetomidine Associated with Intraoperative Floppy Iris Syndrome in Ophthalmic Surgery

Intraoperative floppy iris syndrome is characterized by flaccid iris stroma, iris prolapse, and progressive pupil constriction. Dexmedetomidine results in abrupt constriction of the well-dilated pupils. Three cataract patients were studied. Pupils were found well dilated with mydriatics in the preop...

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Main Authors: Bhawna Chawla, Tanvi Mudgil, Kritika Garg, Kanav Gupta, Brij Kishore Gupta
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-04-01
Series:Delhi Journal of Ophthalmology
Subjects:
Online Access:https://journals.lww.com/10.4103/DLJO.DLJO_39_24
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author Bhawna Chawla
Tanvi Mudgil
Kritika Garg
Kanav Gupta
Brij Kishore Gupta
author_facet Bhawna Chawla
Tanvi Mudgil
Kritika Garg
Kanav Gupta
Brij Kishore Gupta
author_sort Bhawna Chawla
collection DOAJ
description Intraoperative floppy iris syndrome is characterized by flaccid iris stroma, iris prolapse, and progressive pupil constriction. Dexmedetomidine results in abrupt constriction of the well-dilated pupils. Three cataract patients were studied. Pupils were found well dilated with mydriatics in the preoperative area. The procedures were performed under local anesthesia and an infusion of 0.2 µg/kg with dexmedetomidine was given for sedation. Within 5–10 min, the pupil became constricted, and the iris suddenly became floppy.
format Article
id doaj-art-8543cad3d07c4d6b9a0c9925378aa291
institution OA Journals
issn 0972-0200
2454-2784
language English
publishDate 2024-04-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Delhi Journal of Ophthalmology
spelling doaj-art-8543cad3d07c4d6b9a0c9925378aa2912025-08-20T01:48:38ZengWolters Kluwer Medknow PublicationsDelhi Journal of Ophthalmology0972-02002454-27842024-04-0134212913210.4103/DLJO.DLJO_39_24Dexmedetomidine Associated with Intraoperative Floppy Iris Syndrome in Ophthalmic SurgeryBhawna ChawlaTanvi MudgilKritika GargKanav GuptaBrij Kishore GuptaIntraoperative floppy iris syndrome is characterized by flaccid iris stroma, iris prolapse, and progressive pupil constriction. Dexmedetomidine results in abrupt constriction of the well-dilated pupils. Three cataract patients were studied. Pupils were found well dilated with mydriatics in the preoperative area. The procedures were performed under local anesthesia and an infusion of 0.2 µg/kg with dexmedetomidine was given for sedation. Within 5–10 min, the pupil became constricted, and the iris suddenly became floppy.https://journals.lww.com/10.4103/DLJO.DLJO_39_24cataract surgerydexmedetomidinefloppy iris
spellingShingle Bhawna Chawla
Tanvi Mudgil
Kritika Garg
Kanav Gupta
Brij Kishore Gupta
Dexmedetomidine Associated with Intraoperative Floppy Iris Syndrome in Ophthalmic Surgery
Delhi Journal of Ophthalmology
cataract surgery
dexmedetomidine
floppy iris
title Dexmedetomidine Associated with Intraoperative Floppy Iris Syndrome in Ophthalmic Surgery
title_full Dexmedetomidine Associated with Intraoperative Floppy Iris Syndrome in Ophthalmic Surgery
title_fullStr Dexmedetomidine Associated with Intraoperative Floppy Iris Syndrome in Ophthalmic Surgery
title_full_unstemmed Dexmedetomidine Associated with Intraoperative Floppy Iris Syndrome in Ophthalmic Surgery
title_short Dexmedetomidine Associated with Intraoperative Floppy Iris Syndrome in Ophthalmic Surgery
title_sort dexmedetomidine associated with intraoperative floppy iris syndrome in ophthalmic surgery
topic cataract surgery
dexmedetomidine
floppy iris
url https://journals.lww.com/10.4103/DLJO.DLJO_39_24
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AT kritikagarg dexmedetomidineassociatedwithintraoperativefloppyirissyndromeinophthalmicsurgery
AT kanavgupta dexmedetomidineassociatedwithintraoperativefloppyirissyndromeinophthalmicsurgery
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